Establishing and arriving at a diagnosis is the key to treatment planning and often practitioners tend to create a treatment plan overlooking, the fundamental principles that must be taken into consideration prior to performing implant surgeries. The sequential process of clinical examination, laboratory tests ,radio- graphic analysis, diagnostic protocols of casts, wax ups, along with the treatment needs and desires of the patient have to be factored in for the overall diagnosis and prognosis of implant therapy. A step-by-step methodology has been created to help the implant practitioner with a checklist that aims to create the optimal treatment plan for each case